№ lp_1_2_03553
File format: docx
Character count: 6977
File size: 124 KB
This document is a referral form for healthcare professionals to request wheelchair services for patients who require mobility support indoors.
Year:
2023
Region / City:
Portsmouth
Subject:
Healthcare and Mobility Services
Document Type:
Referral Form
Organization / Institution:
AJM Healthcare
Author:
AJM Healthcare
Target Audience:
Healthcare Professionals, Individuals Requiring Mobility Equipment
Period of Validity:
N/A
Approval Date:
N/A
Modification Date:
N/A
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2020
Region / City:
Philadelphia, PA, USA
Subject:
Wheelchair Van Transportation Services
Document Type:
Contract Opportunity Amendment
Agency / Organization:
Department of Veterans Affairs, Network Contracting Office 4
NAICS Code:
485991
Set-Aside:
100% for small businesses
Performance Period:
Five years, Indefinite Delivery Indefinite Quantity (IDIQ)
Solicitation Method:
Competitive, Best Value, Performance Price Tradeoff (PPT)
Point of Contact:
Cynthia Grygier
POC Email:
[email protected]
Place of Performance:
Philadelphia VA Medical Center and affiliated clinics in Pennsylvania and New Jersey
Certification Requirements:
Pennsylvania Public Utility Commission paratransit certification
Organization:
NHS North East London Integrated Care Board
Service Provider:
AJM Healthcare
Document Type:
Referral form
Sector:
Healthcare
Region:
North East London
Target Audience:
General practitioners
Subject:
Wheelchair service referral
Patient Group:
Adults and children
Contact Telephone:
0808 169 1040
Submission Method:
Email
Email Address:
[email protected]
Postal Address:
Unit 18, The IO Centre, 59–71 River Road, Barking IG11 0DR
Governing System:
NHS
Eligibility Reference:
Wheelchair Service eligibility criteria
Administrative Notes:
Form must be fully completed to be processed
Note:
Year
Theme:
Medical/Healthcare
Document type:
Referral Form
Institution:
AJM Healthcare
Author:
Healthcare Professional
Target audience:
Healthcare providers, medical professionals
Year:
2006-2024
Region / City:
United States, Canada
Topic:
Wheelchair Lifts, Accessibility
Document Type:
Product Specification
Organization / Institution:
Garaventa Lift
Author:
Garaventa Lift
Target Audience:
Specifiers, Engineers, Installers
Period of Validity:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2022
Region / City:
Hastings, MN
Topic:
Wheelchair Basketball Tournament
Document Type:
Tournament Announcement
Organization / Institution:
Courage Kenny Rehabilitation Institute
Author:
Romaus Mesa
Target Audience:
NWBA teams, coaches, participants
Effective Period:
November 5th and 6th, 2022
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2023
Region / City:
Global
Topic:
Harassment prevention in sports
Document type:
Policy
Organization / Institution:
International Wheelchair Rugby Federation
Author:
International Wheelchair Rugby Federation
Target audience:
Athletes, coaches, volunteers, staff, technical officials, and IWRF members
Period of validity:
Ongoing
Approval date:
Not specified
Date of amendments:
Not specified
Context:
A policy document outlining the stance and measures against harassment within the International Wheelchair Rugby Federation, including various forms of harassment and the procedures for addressing them.
Year:
2019
Region / City:
Texas, USA
Topic:
Accessibility for students with disabilities
Document Type:
Guidelines
Institution:
Texas A&M University-Commerce
Author:
Student Disability Resources and Services (SDRS)
Target Audience:
Faculty and Staff
Period of Validity:
Ongoing
Approval Date:
11/02/2019
Year:
2023
Region / City:
Arkansas, United States
Theme:
Medical Equipment, Prior Authorization
Document Type:
Form
Institution:
Arkansas Foundation for Medical Care, Inc.
Author:
Arkansas Foundation for Medical Care, Inc.
Target Audience:
Healthcare providers, prescribing physicians, advanced practice registered nurses, Medicaid beneficiaries
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2016
Region / City:
Topi, District Swabi, Khyber Pakhtunkhwa, Pakistan
Field:
Engineering / Assistive Technology
Document Type:
Final Year Project Report
Organization:
Ghulam Ishaq Khan Institute of Engineering Sciences and Technology
Author:
Muhammad Ather Tayyab, Muhammad Bilal, Saim Ali
Target Audience:
Students, Engineers, Medical Practitioners
Period of Implementation:
2016
Approval Date:
2016
Year:
2026
Region / City:
Amman, Jordan
Subject:
Disability, Accessibility, Wheelchair Users
Document Type:
Research Article
Organization / Institution:
University of Kwazulu-Natal, Coventry University, Al-Areen Engineering Consultants
Author:
Mohammad Ali Mulazadeh, PhD; Talal Soliman Alharbi, PhD
Target Audience:
Researchers, Policymakers, Disability Advocates
Period of Action:
1993-2007 (Policy Law No. 31)
Approval Date:
2007
Date of Modifications:
Not specified
Year:
2026
Region / City:
International
Theme:
Line Dance, Wheelchair Adaptation
Document Type:
Choreography Sheet
Organization:
International Line Dance Flashmob
Choreographers:
Nick Goodman (UK), Ben Murphy (DE), Sascha Wolf (DE)
Music:
Everybody Dance (Joe Mangione Edit Mix) - Sister Sledge
Level:
Absolute Beginner Wheelchair
Counts:
32
Walls:
4
Last Update:
30 Jan 2026
Year:
2023
Region / City:
Aylesbury, Bucks
Topic:
Spinal Cord Injury Rehabilitation, Wheelchair Skills
Document Type:
Course Description
Institution:
National Spinal Injuries Centre, Stoke Mandeville Hospital
Author:
Lynsey Warnock, Michelle Clarke
Target Audience:
Therapists, Engineers, Wheelchair Industry Professionals
Course Duration:
2 Days
Date of Approval:
Not specified
Date of Changes:
Not specified
Year:
2021
Region / City:
Chichester
Subject:
Wheelchair Accessible Vehicles
Document Type:
Report
Authority / Organization:
Chichester District Council
License Type:
Hackney Carriage Vehicle, Private Hire Vehicle
Target Audience:
Taxi operators, public transport providers
Period of Validity:
As of 11/03/2021
Date of Approval:
11/03/2021
Number of Vehicles:
40
Document Type:
Clinical and billing compliance checklist
Subject:
Power wheelchair seating systems, drive controls, electronics, and accessories coding and coverage criteria
Applicable Programs:
Medicare and other third-party payers following Centers for Medicare & Medicaid Services guidelines
Primary Topic:
HCPCS coding verification and medical necessity documentation requirements
Referenced Codes:
E1002–E1008, E1226, E1399, E2300–E2377, K0108, K0830–K0831 and related HCPCS codes
Key Components:
Power tilt, power recline, combination tilt and recline, seat elevator, standing feature, specialty drive controls, electronic connections, cushions and backs
Documentation Requirements:
LCMP evaluation, diagnosis verification, justification of each accessory, confirmation of non-inclusion per NCCI methodology
Coverage Limitations:
Non-covered features by most payers include seat elevator, standing feature, anterior/lateral tilt, and certain specialty controls unless specific criteria are met
Coding Guidance:
Inclusion rules for heavy duty options, armrests, joysticks, and manufacturer-installed components including references to Quantum Rehab Q-Logic EX joystick
Intended Audience:
Complex rehab technology suppliers, clinicians, billing specialists
Regulatory Framework:
CMS coverage criteria, PDAC verification, NCCI methodology
Year:
2026
Region / City:
Galway
Field:
Healthcare
Document Type:
Application Form
Organization:
Health Service Executive (HSE)
Author:
Health Service Executive
Target Audience:
Job applicants for the position of Senior Occupational Therapist
Effective Period:
Until application deadline
Approval Date:
February 16, 2026
Date of Changes:
N/A
Year:
2023
Region / City:
Penn Yan, NY
Topic:
Mental Health Services, Housing Assistance
Document Type:
Referral Form
Organization:
Yates County Adult SPOA
Author:
Yates County Mental Health Services
Target Audience:
Health and social service providers, individuals with mental health concerns
Effective Period:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual Description:
A referral form for supportive housing, ACT services, and non-Medicaid care management for individuals with mental health diagnoses in Yates County.
Year:
2023
Region / City:
North Central London
Topic:
Healthcare Referral Form
Document Type:
Referral Form
Organization / Institution:
North Central London
Author:
N/A
Target Audience:
Healthcare professionals
Period of Validity:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Year:
2020
Region / City:
United States
Theme:
Emergency Housing Assistance, COVID-19 Response
Document Type:
Referral Form
Author:
SSVF
Target Audience:
Veterans, SSVF Grantees, Community Stakeholders
Action Period:
During COVID-19 Pandemic
Approval Date:
N/A
Date of Changes:
N/A
Context:
A referral form used for Emergency Housing Assistance under the SSVF program during the COVID-19 crisis, outlining eligibility and procedures for providing temporary housing to at-risk Veterans.
Year:
20XX
Region / City:
Illinois
Topic:
Affordable Housing
Document Type:
Agreement
Organization / Institution:
Illinois Housing Development Authority
Author:
Not specified
Target Audience:
Property Managers, Housing Authorities, Service Providers
Effective Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified